Effect of the COVID-19 pandemic on HIV, malaria and tuberculosis indicators in Togo: an interrupted time series analysis

Autor: Fifonsi Adjidossi Gbeasor-Komlanvi, Didier Koumavi Ekouevi, Kossivi Agbelenko Afanvi, Tinah Atcha-Oubou, Yao Rodion Konu, Fall Dogo, Claver Anoumou Dagnra, Fatoumata Binta Tidiane Diallo, Mahmoud Teouri, Moustafa Mijiyawa
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMJ Global Health, Vol 9, Iss 4 (2024)
Druh dokumentu: article
ISSN: 2059-7908
DOI: 10.1136/bmjgh-2023-013679
Popis: Background Limited data are available on the effects of the COVID-19 pandemic on health-related indicators in sub-Saharan Africa. This study aimed to estimate the effect of the COVID-19 pandemic on nine indicators of HIV, malaria and tuberculosis (TB) in Togo.Methods For this interrupted time series analysis, national health information system data from January 2019 to December 2021 and TB programmatic data from the first quarter of 2018 to the fourth quarter of 2022 were analysed. Nine indicators were included. We used Poisson segmented regression to estimate the immediate impact of the pandemic and per-pandemic period trends through incidence rate ratios (IRRs) with 95% CIs.Results Overall, there was a decrease in six of the nine indicators, ranging from 19.3% (IRR 0.807, 95% CI 0.682 to 0.955, p=0.024) for the hospitalisation of patients for malaria to 36.9% (IRR 0.631, 95% CI 0.457 to 0.871, p=0.013) for TB diagnosis by Mycobacterium tuberculosis Xpert immediately after the declaration of the COVID-19 pandemic. A comparison of the observed and predicted trends showed that the trend remained constant between the prepandemic and pandemic periods of COVID-19 for all malaria indicators. A significant downward monthly trend was observed in antiretroviral therapy initiation (IRR 0.909, 95% CI 0.892 to 0.926, p
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